Cheryl Lynne Ellsworth, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SA60932401 Issued in WA

Practice address

202 N Division St
Ms - 202-C3-Pal
Auburn, WA 98001

Phone

(253) 545-2578

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1265023097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 48TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361005",
            "telephone_number": "206-612-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N DIVISION ST",
            "address_2": "MS - 202-C3-PAL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "253-545-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SA60932401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eid, Jaber, Jassar, PLLC
• Wendy Michelle Eidman, ND
• Jessica Lauren Elder, LICSW
• Elizabeth G. Padilla DMD, PLLC
• Adaje Ellison
• Ann Marie Elmore, MSSW, LIACSW, CDP
• Brandi Eloff, PT, DPT
• Emdr Recovery With Rae Ann
• Emmal Felipe Enterprises LLC
• Stephanie Emmal, MSN

• Clinical Social Worker in Auburn, WA
• Providers in Auburn, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.